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BET BERT INC
CH0922930 WINTERS HEALTHCARE FOUNDATION INC
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Covered Entity Details
Entity Name
WINTERS HEALTHCARE FOUNDATION INC
Subdivision Name
WINTERS HEALTHCARE CLINIC
Type
HRSA-Funded Health Center
340B ID
CH0922930
Entity Address
172 E. Grant Ave
Winters, CA 95694-1722
Grant Number
H80CS04430
Participating Start Date
9/9/2005
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
BET BERT INC
Pharmacy Address
DBA EAGLE DRUG
101 MAIN ST
WINTERS, CA 95694
Pharmacy Comments
Contract Details
Approval Date
9/9/2005
Contract Begin Date
9/9/2005
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/26/2015
Ownership change
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
7/19/2005
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